OverviewEXL/SCIO Health Analytics is looking for an Outpatient Subject Matter Expert . This is a Home Office Consulting opportunity.
The successful candidate is a Subject Matter Expert in the coding of outpatient facility claims and knowledgeable of the APC payment methodology. Individual to assist in developing query ideas that help identify when an outpatient hospital claim is coded incorrectly (e.g., upcoding surgery, 59 modifier, incorrect units, etc.). Should have 10+ years’ experience in outpatient coding. Experience in outpatient facility auditing a plus. Must be a certified coder (CPC).
- CCS - Certified Coding Specialist
- RHIT - Registered Health Information Technologist
- CCDS - Certified Clinical Documentation Specialist preferred
- Must have experience with encoder tools (TrueCode, 3M, Webtrat, Pricers)
- Must possess excellent verbal/written communication skill
- Must possess experience with Excel, PowerPoint, Outlook, and Word